Buddy Costarella Davis in Austin - Physician Assistant

Buddy Costarella Davis - NPI 1578744942

Buddy Costarella Davis is a Physician Assistant in Austin, Texas. Buddy Costarella Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Buddy Costarella Davis is 1578744942. The last update date is 2023-11-22.

Buddy Costarella Davis's current location address is 1000 E 41st St Ste 925, Austin, Texas. You can contact this provider via phone number 5129789940. The mailing address for Buddy Costarella Davis is 1000 E 41st St Ste 925, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Buddy Costarella Davis
Address 1000 E 41st St Ste 925, Austin, Texas
Phone Number 5129789940
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1578744942
Provider Enumeration Date 2007-11-14
Last Updated Date 2023-11-22

Provider Mailing Address Detail

Address 1000 E 41st St Ste 925
City Austin
State Texas (TX)
Post Code 787514856
Phone Number 5129789940
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA11793
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Buddy Costarella Davis

What is the unique 10-digit identification code assigned to Buddy Costarella Davis by the Centers for Medicare & Medicaid Services?

The Buddy Costarella Davis has been issued the NPI (National Provider Identifier) 1578744942, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Buddy Costarella Davis is located?

The Buddy Costarella Davis is situated at the following address: 1000 E 41St St Ste 925, Austin, TX, 787514856.

What is Buddy Costarella Davis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Buddy Costarella Davis is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Buddy Costarella Davis receive the assignment of its 1578744942 from the Centers for Medicare & Medicaid Services?

The Buddy Costarella Davis was issued its 1578744942 by the Centers for Medicare & Medicaid Services on 2007-11-14.

As of what date was the information regarding Buddy Costarella Davis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Buddy Costarella Davis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-11-22.

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